Full employer posting
Responsible for answering and routing incoming phone calls to the Day Treatment School. Provide ongoing support to the staff of Methodist Day Treatment School. Which includes ordering supplies, food, assisting with medication management and security.
Scheduling initial and follow-up appointments for clients with therapisß and physicians. Conducting reminder calls to clients with scheduled appointments daily, as well as conducting follow-up telephone calls when clients cancel or do not show up on a regular basis. Communicating with therapists and physician regarding any changes in clinic schedules, etc.
Verifying insurance coverage and obtaining benefits available to clients prior to admission to MDT and communicate with client and families regarding coverage and benefits. Providing financial counseling with new clients and/or their families including insurance benefits and payment responsibilities. Collect payment including insurance co-payments from clients prior to each scheduled appointment.
Maintain up-to-date demographic and insurance information for all MDT clients. Communicate verbally and in writing, and act as Liaison with the MFH Accounting, Billing, and Utilization Review Departments to include, but not limited to: Provide financial and commercial insurance benefits for MDT clients when the information is obtained Print cash sheets from EMR and submit those with co-payments collected weekly to the business office in Little Rock.
Assist in maintaining MDT' s current provider status with insurance networks including obtaining necessary documentation to add new clinical staff members, obtaining, and maintaining provider numbers for clinical staff, etc. Assisting Utilization Review with maintaining clients' insurance requirements to receive Mental Health services (PCP referrals, Prior Authorizations, etc.) in order to treat clients timely and without disruptions in services
Preferred bachelor' s degree in business, communications, Or equivalent; or 2 years of college plus a minimum of 5 years' experience in a management/supervisory capacity. Proficiency in Microsoft Office including Excel, Microsoft Access, Power Point, and Publisher. Good communication and people skills.
Ability to take initiative, multi-task and work in a high stress, fast-paced environment with minimal supervision required. Knowledge or experience in Medicaid and private insurance billing preferred. Knowledge or experience in Utilization Review/Management desired.
Experience with Electronic Health Records preferred. Ability to document accurately and professionally. Ability to perform physical demands required by Crisis Prevention Intervention.
Must remain current in Crisis Prevention Intervention Training. Must be physically capable of receiving verbal and written directions. Must be physically capable of sitting and standing for several hours at a time.
Must have good auditory, visual, and olfactory ability. Ability to use hands and fingers to handle or feel objects, tools, or controls. Must be able to maintain effective audio, visual discrimination and perception needed for making observations, communicating with others, reading, and writing, and operating office equipment and other treatment equipment.
Must be able to use a telephone to communicate verbally and a computer to communicate through written means, to review information and enter/retrieve data, to see and read characters on a computer screen, chart or other treatment items. Must be willing and able to work with all patients Of Methodist Family Health.
s are not intended, nor should be construed, to be all-inclusive lists of all responsibilities, skills, efforts or working conditions associated with a job. While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from particular jobs and to assign other duties as necessary. Level One - Full Access: Ongoing regular access to PHI of all forms while the employee is on duty and performing within the scope of his or her job as defined by the employee's
, and Policy and Procedure. "Such access must be for cause, consistent with job responsibilities and related to patients, claims, audits, reviews and other legitimate business purposes." (e.g. Physicians, nurses and Other clinicians) Education Bachelors (preferred)